PANDYA & NIME, M. D. , P. A.
|
2022
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592453855
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2023-10-23
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PANDYA & NIME, M.D., P.A.
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3
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
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Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
4413 CROOKED MILE ROAD, MERRITT ISLAND, FL, 32952
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PANDYA & NIME, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2022
|
592453855
|
2023-09-18
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PANDYA & NIME, M.D., P.A.
|
3
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
|
Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
4413 CROOKED MILE ROAD, MERRITT ISLAND, FL, 32952
|
|
PANDYA & NIME, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2021
|
592453855
|
2022-09-12
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PANDYA & NIME, M.D., P.A.
|
2
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File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
|
Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
3137 VILLAGE PARK DRIVE, MELBOURNE, FL, 32934
|
Signature of
Role |
Plan administrator |
Date |
2022-09-12 |
Name of individual signing |
FREDA NIME, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
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PANDYA & NIME, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2020
|
592453855
|
2021-07-17
|
PANDYA & NIME, M.D., P.A.
|
4
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
|
Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
110 LONGWOOD AVE, WUESTOFF HOSPITAL - PATHOLOGY DEPT, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2021-07-17 |
Name of individual signing |
FREDA NIME, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PANDYA & NIME, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2019
|
592453855
|
2020-10-13
|
PANDYA & NIME, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
|
Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
110 LONGWOOD AVE, WUESTOFF HOSPITAL - PATHOLOGY DEPT, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
FREDA NIME, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PANDYA & NIME, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2018
|
592453855
|
2019-10-03
|
PANDYA & NIME, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
|
Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
110 LONGWOOD AVE, WUESTOFF HOSPITAL - PATHOLOGY DEPT, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
FREDA NIME, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PANDYA & NIME, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2017
|
592453855
|
2018-05-24
|
PANDYA & NIME, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
|
Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
110 LONGWOOD AVE, WUESTOFF HOSPITAL - PATHOLOGY DEPT, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2018-05-12 |
Name of individual signing |
FREDA NIME, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PANDYA & NIME, M.D., P.A. PROFIT SHARING PLAN AND TRUST
|
2016
|
592453855
|
2017-07-08
|
PANDYA & NIME, M.D., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
|
Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
110 LONGWOOD AVE, WUESTOFF HOSPITAL - PATHOLOGY DEPT, ROCKLEDGE, FL, 32955
|
Signature of
Role |
Plan administrator |
Date |
2017-07-08 |
Name of individual signing |
FREDA NIME, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
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PANDYA & NIME, M.D., P.A. MONEY PURCHASE PENSION PLAN & TRUST
|
2009
|
592453855
|
2010-07-01
|
PANDYA & NIME, M.D., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-09-01
|
Business code |
621112
|
Sponsor’s telephone number |
3216362211
|
Plan sponsor’s
address |
110 LONGWOOD AVE, WUESTOFF HOSPITAL - PATHOLOGY DEPT, ROCKLEDGE, FL, 32955
|
Plan administrator’s name and address
Administrator’s EIN |
592453855 |
Plan administrator’s name |
PANDYA & NIME, M.D., P.A. |
Plan administrator’s
address |
110 LONGWOOD AVE, WUESTOFF HOSPITAL - PATHOLOGY DEPT, ROCKLEDGE, FL, 32955 |
Administrator’s telephone number |
3216362211 |
Signature of
Role |
Plan administrator |
Date |
2010-07-01 |
Name of individual signing |
SUMANT J. PANDYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-01 |
Name of individual signing |
SUMANT J. PANDYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
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